Individual
DR. BABAK ETTEKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 QUAKER LN # C2-4, WARWICK, RI 02886-0159
(401) 233-5051
(401) 372-3445
Mailing address
PO BOX 746088, ATLANTA, GA 30374-6088
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91050
CA
207Q00000X
Family Medicine Physician
MD16998
RI
Other
Enumeration date
05/09/2007
Last updated
11/09/2021
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